Doctor Name: | DR. JOHN LIEBERT COLLIGAN |
NPI Number: | 1295727550 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 10207 |
Business Practice Address: | 2000 Opelousas St Lake Charles, LA - 706012641 |
Business Phone Number: | 3374399983 |
Business Fax Number: | 3374379460 |
Mailing Address: | 3203 Cyprien Ln, LAKE CHARLES |
State: | LA |
Postal Code: | 706052254 |
Phone Number: | 3374786361 |
Fax Number: | 3374740628 |
NPI Enumeration Date: | 08/22/2005 |
NPI Last Update Date: | 07/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 10207 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |